person
Mrs. Shannon Marie Holthaus, APN
Family Nurse Practitioner in Champaign, Illinois
NPI 1558779058

Shannon Marie Holthaus is a Family Nurse Practitioner based in Urbana, IL and is specialized in Family. Shannon Marie Holthaus practices in Champaign, IL and has the professional credentials of APN. The NPI Number for Shannon Marie Holthaus is 1558779058 and holds a License No. 209.011667 (Illinois).

The current practice location address for Shannon Marie Holthaus is 1802 S Mattis Ave, Champaign, IL and can be reached out via phone at 217-383-3260 and via fax at 217-383-4459.

Location: 1802 S Mattis Ave, Champaign, IL, 61801-2500
person
Provider Profile Details
NPI Number
1558779058
Provider Name
Shannon Marie Holthaus
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1802 S Mattis Ave, Champaign, IL, 61801-2500
Phone Number
217-383-3260
Fax Number
217-383-4459
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1802 S Mattis Ave
City
State
Zip
61821-5923
Phone Number
217-383-3260
Fax Number
217-383-4459
person
Provider Business Mailing Address Details
Address
1802 S Mattis Ave
City
State
Zip
61821-5923
Phone Number
217-383-3260
Fax Number
217-383-4459
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.011667 (Illinois)
Definition
Definition to come...
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